剖宫产次数对妊娠结局的影响(1)
[摘要] 目的 探讨剖宫产次数对妊娠结局的影响。 方法 选取2012年1月～2014年1月在本院行剖宫产分娩的70例产妇作为研究对象，根据产妇剖宫产次数分为对照组(初次剖宫产)和观察组(多次剖宫产)，每组35例。比较两组产妇的妊娠结局。 结果 观察组产妇的产后并发症发生率低于对照组，母乳喂养率、产后生活质量满意度高于对照组，差异有统计学意义(P<0.05)。 结论 产妇剖宫产次数越多，产后生活质量越低，母乳喂养情况越差，且产后并发症发生率越高。临床上应根据产妇的具体体征选择合适的分娩方式，从而保障母婴健康，提高医疗服务质量。
[关键词] 剖宫产次数；妊娠结局；产后并发症
[中图分类号] R719.8+2 [文献标识码] A [文章编号] 1674-4721(2015)06(a)-0104-03
Effect of number of cesarean section on pregnancy outcomes
ZENG Cui-rong
Department of Gynecology and Obstetrics，People′s Hospital of Lianping county in Heyuan City of Guangdong Province，Heyuan 517100，China
[Abstract] Objective To explore the effect of number of cesarean section on pregnancy outcomes. Methods 70 cases of cesarean section in our hospital from January 2012 to January 2014 were selected as research object，and they were divided into the control group (the first cesarean section) and observation group (repeated cesarean section)，with 35 cases in each group. Pregnancy outcome between two groups was compared. Results Postpartum complication occurrence rate in observation group was lower than that of control group， postpartum breastfeeding rate，postpartum living quality satisfaction degree in observation group was higher than that of control group，the difference was significant(P<0.05). Conclusion The more times the number of cesarean section in maternals，the lower the postpartum living quality，the worse the postpartum breastfeeding，and the higher the postpartum complication occurrence rate.The clinical must act according to the special details choice appropriate delivery way，so as to ensure maternal and child health， improve the quality of medical services.
[Key words] Number of cesarean section；Pregnancy outcome；Postpartum complication
剖宫产次数增多，促使临床并发症的风险增高，降低产妇产后生活质量，减少产后母乳喂养率。临床上应根据产妇的具体体征选择合适的分娩方式，从而保障产妇产后的母婴健康[1]。本研究对初次采取剖宫产和重复采取剖宫产的产妇的妊娠结局进行分析，探讨剖宫产次数与妊娠结局的关系。
1 资料与方法
1.1 一般资料
选取2012年1月～2014年1月在本院分娩的70例产妇作为研究对象，所有产妇的妊娠期均>28周，且均采取剖宫产手术分娩，根据产妇的剖宫产次数分为对照组和观察组，每组35例。对照组均为初次采取剖宫产手术，年龄19～30岁，平均(25.5±4.3)岁，孕周34～42周，平均(39.5±2.3)周；观察组均有剖宫产史，年龄20～31岁，平均(26.5±4.1)岁，孕周35～41周，平均(38.3±2.1)周。两组产妇的年龄、孕周等一般资料差异无统计学意义(P>0.05)，具有可比性。
1.2 方法
对两组产妇的一般资料以及妊娠结局进行分析，包括产后并发症、母乳喂养情况以及产后生活质量满意度。其中产后并发症的观察时间为产后0～30 d内，且产后进行12个月的定期随防，了解产妇产后42 d、6个月及12个月的母乳喂养情况，并通过问卷调查的方法掌握产妇产后生活质量满意度，生活质量满意度调查表采用100分制，>85分为满意，65～85分为比较满意，<65分为不满意。总满意度(%)=(满意例数+比较满意例数)/总例数×100%。
1.3 统计学处理
采用SPSS 19.0统计学软件处理相关数据结果，计数资料用率(%)表示，采用χ2检验，以P<0.05为差异有统计学意义。 (曾翠蓉)
[关键词] 剖宫产次数；妊娠结局；产后并发症
[中图分类号] R719.8+2 [文献标识码] A [文章编号] 1674-4721(2015)06(a)-0104-03
Effect of number of cesarean section on pregnancy outcomes
ZENG Cui-rong
Department of Gynecology and Obstetrics，People′s Hospital of Lianping county in Heyuan City of Guangdong Province，Heyuan 517100，China
[Abstract] Objective To explore the effect of number of cesarean section on pregnancy outcomes. Methods 70 cases of cesarean section in our hospital from January 2012 to January 2014 were selected as research object，and they were divided into the control group (the first cesarean section) and observation group (repeated cesarean section)，with 35 cases in each group. Pregnancy outcome between two groups was compared. Results Postpartum complication occurrence rate in observation group was lower than that of control group， postpartum breastfeeding rate，postpartum living quality satisfaction degree in observation group was higher than that of control group，the difference was significant(P<0.05). Conclusion The more times the number of cesarean section in maternals，the lower the postpartum living quality，the worse the postpartum breastfeeding，and the higher the postpartum complication occurrence rate.The clinical must act according to the special details choice appropriate delivery way，so as to ensure maternal and child health， improve the quality of medical services.
[Key words] Number of cesarean section；Pregnancy outcome；Postpartum complication
剖宫产次数增多，促使临床并发症的风险增高，降低产妇产后生活质量，减少产后母乳喂养率。临床上应根据产妇的具体体征选择合适的分娩方式，从而保障产妇产后的母婴健康[1]。本研究对初次采取剖宫产和重复采取剖宫产的产妇的妊娠结局进行分析，探讨剖宫产次数与妊娠结局的关系。
1 资料与方法
1.1 一般资料
选取2012年1月～2014年1月在本院分娩的70例产妇作为研究对象，所有产妇的妊娠期均>28周，且均采取剖宫产手术分娩，根据产妇的剖宫产次数分为对照组和观察组，每组35例。对照组均为初次采取剖宫产手术，年龄19～30岁，平均(25.5±4.3)岁，孕周34～42周，平均(39.5±2.3)周；观察组均有剖宫产史，年龄20～31岁，平均(26.5±4.1)岁，孕周35～41周，平均(38.3±2.1)周。两组产妇的年龄、孕周等一般资料差异无统计学意义(P>0.05)，具有可比性。
1.2 方法
对两组产妇的一般资料以及妊娠结局进行分析，包括产后并发症、母乳喂养情况以及产后生活质量满意度。其中产后并发症的观察时间为产后0～30 d内，且产后进行12个月的定期随防，了解产妇产后42 d、6个月及12个月的母乳喂养情况，并通过问卷调查的方法掌握产妇产后生活质量满意度，生活质量满意度调查表采用100分制，>85分为满意，65～85分为比较满意，<65分为不满意。总满意度(%)=(满意例数+比较满意例数)/总例数×100%。
1.3 统计学处理
采用SPSS 19.0统计学软件处理相关数据结果，计数资料用率(%)表示，采用χ2检验，以P<0.05为差异有统计学意义。 (曾翠蓉)